Individual
DR. MARLISA J POPPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
999 WALT WHITMAN RD, SUITE 302, MELVILLE, NY 11747-3007
(631) 385-9400
(631) 385-9421
Mailing address
999 WALT WHITMAN RD, SUITE 302, MELVILLE, NY 11747-3007
(631) 385-9400
(631) 385-9421
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
049725
NY
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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